主动脉疾病治疗
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国际专家探讨主动脉疾病前沿议题
Xin Hua Ri Bao· 2025-12-09 20:19
Core Insights - The "11th (2025) Nanjing Aortic Forum" was held on December 6-7, focusing on the latest surgical and endovascular treatment techniques for aortic diseases, complex complications management, and future development trends in the field [1] - The forum featured international experts from Germany, the USA, Italy, and France, discussing cutting-edge treatment strategies including aortic arch treatment, brain protection strategies, acute type A dissection root repair, type B dissection management, chronic dissection endovascular repair, and improved aortic arch descending reconstruction techniques [1] Industry Overview - According to the "2024 China Cardiovascular Surgery and Extracorporeal Circulation Data Survey White Paper," 360,765 cardiac major vascular surgeries were completed across 789 hospitals in 2024, with 48,579 of these being major vascular surgeries [2] - Despite significant advancements in this field, the demand for aortic disease patients remains unmet, attributed to China's large population, high aging rate, and insufficient hypertension prevention and control [2] - The incidence of aortic diseases in China occurs at a younger age compared to Western countries, indicating a need for improved prevention and control of cardiovascular diseases [2] Clinical Developments - The widespread adoption of minimally invasive techniques has led to new challenges regarding complications, necessitating clinical doctors to accurately assess the risks and timing for surgery [2] - The establishment of the "Aortic Difficult Disease Diagnosis and Treatment Center" at Nanjing Medical University Second Affiliated Hospital aims to address complex and critical cases in aortic surgery, including severe complications from aortic surgery [2] - The success rate for treating complex aortic conditions, such as esophageal fistulas, has reached over 90%, with the lead surgeon having performed over 5,000 heart surgeries, including more than 2,000 complex major vascular surgeries [3] - The success rates for surgeries like type A aortic dissection and thoracoabdominal aortic replacement significantly exceed the national average, providing hope for patients previously deemed to have poor prognoses [3]